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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding guidelines for ICD-10, CPT, and HCPCS, with a strong ability to communicate and collaborate with providers. Proficient in navigating electronic medical records and ensuring accuracy in coding submissions.
Highest-signal resume keywords
ICD-10 CodingCPT CodingHCPCS CodingElectronic Medical Records NavigationCoding Guidelines Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10 Diagnosis CodesCPT CodesHCPCS CodesEvaluation And Management CodingHierarchy CodingColumn 1 And 2 PositioningClinical DocumentationMapping And Linking DiagnosesAccuracy ReviewBilling And Coding
Soft Skills
CollaborationProfessional CommunicationOrganization SkillsTime Management
Industry Keywords
Medicare GuidelinesManaged Care GuidelinesCommercial Insurance Guidelines
About the role
Key responsibilities & impact- Review and submit 64 encounters per day or 8 per hour related to evaluation & management, procedures, testing, hospital services and denials
- Discuss coding and guidelines with providers in a collaborative and professional manner
- Elaborate on findings and guidelines with providers on issues identified within daily workflow
- Review assigned CPT, HCPCS and ICD-10 diagnosis codes for accuracy prior to submission
- Navigate electronic medical records as they relate to billing and coding
- Map and link diagnoses for evaluation and management and procedures
- Communicate clearly and precisely with providers during the querying process
Requirements
What you’ll need- 3 plus years of experience is required
- Must be very comfortable with discussing coding and guidelines with providers in a collaborative and professional manner
- Able to articulate guidance for coding of ICD-10, CPT, HCPCS codes and evaluation management new guidelines for office and hospital setting
- Ability to elaborate on findings and guidelines with providers on issues identified within daily workflow
- Review assigned CPT, HCPCS and ICD-10 diagnosis codes for accuracy prior to submission
- Understanding of hierarchy coding as well as column 1 and 2 positioning
- Ability to navigate electronic medical records as it relates to billing and coding
- Understanding of clinical documentation as it relates to ICD-10, CPT and HCPCS coding
- Must be able to map and link diagnosis for evaluation and management and procedures
- Individual must be able to communicate clearly precisely with providers during querying process
- Knowledge of Medicare, Managed Care and Commercial Insurance guidelines for coding E&M and procedures
- Outstanding organization skills and time management required
